Status:

COMPLETED

Selective Estrogen Receptor Modulators to Enhance the Efficacy of Viral Reactivation With Histone Deacetylase Inhibitors

Lead Sponsor:

National Institute of Allergy and Infectious Diseases (NIAID)

Conditions:

HIV Infections

Eligibility:

FEMALE

18-65 years

Phase:

PHASE2

Brief Summary

This study evaluated the effects of tamoxifen exposure in combination with vorinostat on viral reactivation among HIV-1 infected post-menopausal women with virologic suppression on antiretroviral ther...

Detailed Description

The selective estrogen receptor modulator (SERM) tamoxifen may enhance the ability of the histone deacetylase inhibitor (HDACi) vorinostat to reverse HIV-1 latency. This study evaluated the safety of ...

Eligibility Criteria

Inclusion

  • HIV-1 infection
  • Postmenopausal at study entry with agreement not to participate in assisted reproductive technology in the future.
  • CD4+ cell count greater than 300 cells/uL obtained within 90 days prior to study entry.
  • Continuous antiretroviral therapy (ART) for at least 2 years prior to enrollment with no known interruption in therapy for greater than 7 days within 90 days prior to study entry.
  • Plasma HIV-1 RNA level of less than 20 copies/mL obtained by Roche HIV-1 viral load assay or less than 40 copies/mL obtained by the Abbott assay, within 90 days prior to study entry.
  • Ability and willingness of potential participant to provide written informed consent.

Exclusion

  • History of venous thromboembolism.
  • History of stroke.
  • Known history of hypercoagulable state.
  • Tobacco smoking or e-cigarette use within 90 days prior to study entry.
  • History of any malignancy requiring systemic chemotherapy or systemic immunotherapy.
  • History of endometrial or breast cancer or known genetic testing with BRCA positive results indicating an increased risk for breast and ovarian cancer.
  • Use of immunomodulators (e.g., interleukins, interferons, cyclosporine), HIV vaccine, or investigational therapy within 60 days prior to study entry.
  • Any systemic hormonal therapy defined as oral or injectable contraceptives, estrogen and combined estrogen-progesterone replacement therapy in the prior 12 months, or a hormone containing intrauterine device (IUD) within 6 months prior to study entry.
  • Known allergy/sensitivity or any hypersensitivity to components of study drugs or their formulations.

Key Trial Info

Start Date :

April 26 2018

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

July 27 2023

Estimated Enrollment :

31 Patients enrolled

Trial Details

Trial ID

NCT03382834

Start Date

April 26 2018

End Date

July 27 2023

Last Update

July 3 2024

Active Locations (15)

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Page 1 of 4 (15 locations)

1

Alabama CRS

Birmingham, Alabama, United States, 35294

2

UCLA CARE Center CRS

Los Angeles, California, United States, 90035

3

Ucsf Hiv/Aids Crs

San Francisco, California, United States, 94110

4

Harbor-UCLA CRS

Torrance, California, United States, 90502